Individual provider Active NPI

Carmen Elizabeth Spooner, LCSW-BACS

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1427403229
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4956 Issued in LA
Practice address
637 Saint Ferdinand St
Baton Rouge, LA 70802-6152
Phone
(225) 627-3470
Fax
(225) 240-1089
NPI assigned
Apr 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4956 LA Primary

Addresses

Primary practice location

637 Saint Ferdinand St
Baton Rouge, LA 70802-6152

Mailing address

735 Stoney Creek Ave
Baton Rouge, LA 70808-8191
Phone (225) 627-3470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170310000746 LA Practitioner - Clinical Social Worker 8729362744 Practice locations: Baton Rouge, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

637 Saint Ferdinand St
Baton Rouge, LA 70802-6152
Phone (225) 627-3470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4956LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carmen Elizabeth Spooner Clinical CurrentSince Apr 17, 2020 Accepting new patients

Locations

637 Saint Ferdinand St
#C
Baton Rouge, LA 70802
Phone (225) 627-3470

637 Saint Ferdinand St
Baton Rouge, LA 70802
Phone (225) 955-9527

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1427403229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 STONEY CREEK AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708088191",
            "telephone_number": "225-627-3470",
            "fax_number": "225-224-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 SAINT FERDINAND ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708026152",
            "telephone_number": "225-627-3470",
            "fax_number": "225-240-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOONER",
        "first_name": "CARMEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW-BACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.